Complications of Anesthesia and Their Management

What is the most common cause of postoperative hypoxia in the PACU?

Which of the following is an early sign of malignant hyperthermia?

A patient under general anesthesia develops wheezing and increased airway pressure. What is the likely cause?

What is the first step in managing suspected laryngospasm in an intubated patient?

What electrolyte abnormality is a common trigger for cardiac arrhythmias under anesthesia?

A patient becomes tachycardic and febrile 45 minutes into surgery. What is the most likely diagnosis?

What complication is most likely if vomiting occurs during induction?

Which sign best indicates anaphylaxis during anesthesia?

What is the immediate treatment for intraoperative anaphylaxis?

What complication can result from excessive cricoid pressure?

Which condition is a known risk factor for delayed emergence from anesthesia?

A patient with a history of pseudocholinesterase deficiency receives succinylcholine. What may occur?

What is a sign of local anesthetic systemic toxicity (LAST)?

What is the treatment for LAST (local anesthetic systemic toxicity)?

What is a common complication of high spinal anesthesia?

What is the most common postoperative complaint related to general anesthesia?

What causes dental injury during intubation?

Which complication is common with nitrous oxide use in closed spaces?

What is a warning sign of intraoperative awareness?

A patient becomes agitated and hallucinates post-op. What is a likely cause?

What is the best prevention for aspiration during induction?

What sign suggests post-op residual neuromuscular blockade?

What condition increases risk of malignant hyperthermia?

What is the definitive treatment for malignant hyperthermia?

What is the most serious complication of succinylcholine in burn patients?

What is the best initial response to difficult mask ventilation?

Which patient is at highest risk for PONV?

Which inhalational agent is most associated with emergence agitation in children?

What is the risk of excessive oxygen concentration during recovery?

What complication may occur from high pressure mask ventilation?

What causes hoarseness after general anesthesia?

Which postoperative complication is more common in obese patients?

A patient has difficulty swallowing post-op. What is a likely cause?

What complication is most associated with steep Trendelenburg position?

What is the most effective strategy to prevent nerve injury from positioning?

What is the most likely cause of delayed awakening after short surgery?

Which medication increases risk of prolonged apnea with succinylcholine?

A patient vomits in recovery and desaturates. What should be done first?

Which of the following increases risk of corneal abrasion during anesthesia?

A patient develops stridor and suprasternal retractions after extubation. What is the most likely cause?

Which condition increases risk of dental trauma during intubation?

What is the most common cause of awareness under anesthesia?

Which is the most feared complication of epidural anesthesia?

A patient with MH is being treated. What lab abnormality is expected?

What is a life-threatening airway complication in post-op obese patients?

A patient develops hypotension and bradycardia during spinal anesthesia. What is the first treatment?

Which technique reduces risk of ulnar nerve injury in supine patient?

What is the most likely cause of postoperative delirium in elderly?

Which drug is used to treat postoperative shivering?

What complication is most associated with Trendelenburg and pneumoperitoneum?

Which nerve is most vulnerable in lithotomy position?

What complication can occur from rapid administration of IV propofol?

Which monitoring detects gas embolism early in seated neurosurgery?

Which drug is most associated with postoperative nausea and vomiting?

Which electrolyte abnormality worsens neuromuscular blockade?

What does chest wall rigidity after fentanyl bolus suggest?

What is a common cause of nerve injury post-op?

Which factor increases risk of postoperative urinary retention?

What is the first-line treatment for intra-op bronchospasm?

What complication is most likely after shoulder arthroscopy with interscalene block?

What is a late complication of spinal anesthesia?

What is the most dangerous complication of epidural in anticoagulated patient?

What is the major cause of aspiration pneumonia?

Which of the following can mimic awareness during surgery?

Which patient is most at risk for MH?

What is the best strategy to prevent corneal abrasion?

What complication may arise from overinflated endotracheal cuff?

Which anesthesia-related complication presents with muscle rigidity, tachycardia, and dark urine?

What is the most serious complication of central line placement?

Which condition leads to delayed metabolism of benzodiazepines?

What is the typical cause of intra-op tachycardia and HTN with preserved BIS?

What complication is most associated with succinylcholine in pediatrics?

What can help reduce post-op nausea?

Which intraoperative event causes sudden decrease in EtCO?, SpO?, and BP?

What is the earliest sign of tension pneumothorax during positive pressure ventilation?

A patient under anesthesia becomes rigid and hypercapnic with cola-colored urine. What is the diagnosis?

What causes posterior ischemic optic neuropathy post spine surgery?

Which factor increases risk of post-dural puncture headache?

What can result from excessive flexion of hips in lithotomy?

Which medication is used to reverse central anticholinergic syndrome?

A patient becomes hypoxic and shows frothy secretions after intubation. Likely cause?

What causes awareness despite amnesia post-op?

A patient has bradycardia, hypotension, and pinpoint pupils. What is suspected?

Which airway maneuver helps in post-extubation laryngospasm?

What happens with unrecognized esophageal intubation?

Which complication occurs from excessive Trendelenburg?

Which drug can cause adrenal suppression after single dose?

Which agent causes seizures at high doses during inhalation?

What leads to hypothermia during anesthesia?

What sign confirms adequate reversal of neuromuscular blockade?

A patient is apneic with stable HR and BP after fentanyl. Likely cause?

What is a common cause of sore throat after intubation?

What can prevent aspiration in high-risk patient?

What complication is seen with over-sedation and poor recovery room monitoring?

What may cause reduced BIS reading despite awake patient?

Which patient is highest risk for periop nerve injury?

What sign suggests inadequate reversal of muscle relaxant?

What can cause hypercapnia despite adequate RR?

A patient develops facial droop post-op. Most likely cause?

What medication should be avoided in MH-susceptible patients?

Which patient factor delays recovery from GA?

A patient complains of chest tightness after fentanyl bolus. Cause?

Which monitor detects early signs of poor perfusion during surgery?

A patient complains of numb fingers post-op. Likely cause?

What is the major concern with repeated halothane exposure?

What complication may follow high-dose IV lidocaine?

What is the main concern with poor emergence?

What is the first-line treatment for severe bradycardia during spinal anesthesia?

What increases the risk of ischemic optic neuropathy during long spine surgery?

What causes immediate hypertension after laryngoscopy?

Which nerve injury results in wrist drop post-op?

What is the most common cause of intraoperative tachycardia and hypertension?

A patient becomes hypotensive with a flat CVP tracing. Likely cause?

What does a high-pitched inspiratory stridor indicate post-extubation?

What complication arises from over-sedation with midazolam?

What complication is most associated with propofol infusion syndrome?

What is a major concern with positioning in beach-chair surgery?

Which complication is likely in a patient with history of smoking and recent URI undergoing general anesthesia?

What causes delayed awakening from inhalation agents?

Which medication increases PONV risk if used intraoperatively?

What complication is associated with hyperthermia, rigidity, and acidosis during surgery?

What is the best way to prevent ulnar nerve injury during surgery?

What is the risk of using nitrous oxide in patients with bowel obstruction?

Which nerve injury presents with foot drop?

A patient has bradycardia and hypotension 5 minutes after spinal. What is cause?

What sign suggests incomplete reversal of NMB?

What is a complication of difficult airway with multiple intubation attempts?

Which opioid side effect requires naloxone reversal?

A patient under GA becomes hypertensive and tachycardic. BIS is 78. Next step?

Which sign is earliest in local anesthetic systemic toxicity (LAST)?

What should be avoided in a known MH-susceptible patient?

What causes nerve injury from shoulder braces during steep Trendelenburg?

What complication may occur if epidural space is entered with anticoagulation?

What is the primary danger of excessive cricoid pressure?

A patient with spinal develops nausea, hypotension, and bradycardia. Cause?

What lab abnormality is common in MH?

A patient has seizure during local anesthesia for axillary block. Cause?

Which drug should be readily available during high-risk local anesthesia?

What is the first step when EtCO? drops to zero suddenly?

What may cause tachycardia and widened QRS after succinylcholine?

What is the treatment for high-pressure ventilation and elevated EtCO? in MH?

Which neuromuscular blocker is safest in MH-susceptible patient?

A patient develops bradypnea, miosis, and apnea. Suspect?

What is most likely complication from long-term prone positioning?

Which agent is most likely to cause emergence delirium in children?

A patient complains of numbness and weakness in the hand post-op. Likely cause?

What does a positive cuff-leak test predict?

What is the main cause of intra-op hypoxia in obese patients?

What is the treatment for opioid-induced chest wall rigidity?

What complication is associated with overuse of succinylcholine in ICU patients?

What should be monitored in patient receiving massive transfusion?

A patient awakens with arm weakness post-prone spine surgery. Most likely cause?

What causes decreased urine output post-anesthesia despite normal BP?

Which anesthetic agent may cause emergence delirium in elderly?

What sign differentiates bronchospasm from laryngospasm?

A patient develops hypotension, flushing, and urticaria. Cause?

What is the safest way to prevent PONV in high-risk patient?

Which patient factor increases risk of difficult mask ventilation?

What should be avoided during suspected air embolism?

What does «train-of-four» monitor assess?

What lab abnormality is most concerning in suspected MH?

Which anesthetic agent is most associated with postoperative shivering?

What is the concern with rapid IV infusion of cold fluids?

What is the primary action of dantrolene?

Which condition mimics MH but occurs from neuroleptics?

Which complication is reduced by using BIS monitoring?

What is the treatment for high EtCO? and tight chest under anesthesia?

Which complication may result from frequent laryngoscopy attempts?

What is the most dangerous side effect of nitrous oxide in surgery?

Which electrolyte imbalance prolongs QT interval?

What can prevent corneal injury during GA?

What is the immediate step if patient vomits under GA?

What condition increases risk of vocal cord paralysis post-intubation?

A patient with PONV history should receive which prophylaxis?

What sign indicates successful reversal of neuromuscular blockade?

What is the main risk of deep extubation?

Which condition must be ruled out in delayed awakening?

Which intervention reduces risk of aspiration during emergence?

What ECG change is seen with hyperkalemia?

What helps differentiate between light anesthesia and pain?

Which complication requires immediate reintubation post-extubation?

What is the most appropriate management of hypotension in a patient with known aortic stenosis under anesthesia?

What complication is associated with accidental intrathecal injection of chlorhexidine?

A patient with liver failure receives midazolam. What is the expected response?

What is a potential cause of sudden hypotension after epidural bolus?

A child given halothane develops fever and dark urine. Diagnosis?

What is a sign of epidural hematoma in the immediate post-op period?

Which type of surgery carries highest risk of awareness under anesthesia?

Which lab result supports rhabdomyolysis?

A patient on chronic steroids is undergoing surgery. What is the perioperative concern?

Which of the following is the best way to prevent recall in TIVA?

What is a red flag for local anesthetic systemic toxicity (LAST)?

What complication can occur from hypothermia during anesthesia?

Which maneuver prevents aspiration before extubation?

What is the mechanism behind N?O-induced middle ear pain?

Which condition may cause falsely high EtCO? readings?

What is the best fluid for resuscitation during MH crisis?